Key points
- Do not wait for contractions to become painful or follow a “5-1-1” pattern.
You do not have to decide on your own
Braxton Hicks are practice contractions. Preterm labor means contractions are changing the cervix—the opening to the uterus—before 37 weeks. An examination may be needed to tell the difference.
What can feel different?
Braxton Hicks are often irregular and may settle with rest, water, or a position change. Labor contractions tend to become more regular or persistent. However, preterm contractions can be mild or painless. ACOG: Recognizing labor
Call right away before 37 weeks for:
- Repeated tightening or menstrual-like cramps.
- New pelvic pressure or a dull, persistent backache.
- Watery, bloody, or noticeably increased discharge.
- A gush or trickle of fluid.
Do not wait for contractions to become painful or follow a “5-1-1” pattern. Go to Labor & Delivery at HCA Florida University Hospital. Rest and hydration should not delay evaluation.
Assessment may include contraction and heartbeat monitoring, a cervical examination, and testing for leaking fluid. Depending on the findings and pregnancy week, treatment may help delay birth or protect the baby if early delivery is likely. ACOG: Preterm labor and birth
Frequently asked questions
Can preterm labor happen without risk factors?
Yes. New symptoms matter even when the pregnancy has been uncomplicated.
Does being evaluated mean I will deliver early?
No. Many patients with symptoms do not deliver soon, but an evaluation helps identify who needs treatment.
Questions about your pregnancy? Contact Davie ObGyn in Davie, Florida, at 954-880-1010. New and established patients are welcome. This information supports your prenatal care and does not replace an individual medical assessment. For urgent symptoms, call your care team promptly; for an emergency, call 911. Do not use a routine online message for urgent symptoms.
Medically reviewed by Rahil Malik, MD, FACOG, board-certified obstetrician-gynecologist. Last reviewed: September 26, 2026. This page is general information and does not replace a visit with your doctor.